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Request To Retest Sample

Sam the Sample is requesting to retest on Chapter 18: Addition. On the previous test, Sam scored 70% and made mistakes by doing subtraction instead of addition and guessing. Sam circled activities 2 and 5 to improve understanding - creating a visual representation and watching an instructional video with practice problems. Sam requests a retest and will submit this form along with the previous test with corrections.

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149 views

Request To Retest Sample

Sam the Sample is requesting to retest on Chapter 18: Addition. On the previous test, Sam scored 70% and made mistakes by doing subtraction instead of addition and guessing. Sam circled activities 2 and 5 to improve understanding - creating a visual representation and watching an instructional video with practice problems. Sam requests a retest and will submit this form along with the previous test with corrections.

Uploaded by

api-247641326
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Math Request to Retest Form

Name: ___Sam the Sample__________________

Date: ___02/20/2020_________

Class Period: ___10___

Chapter/Concept to Retest: ____Chapter 18: Addition_______________

Reflect

Previous Score ____70%_____

Why?

__I messed up and did subtraction instead of addition for some of the problems. For other problems, I

guessed a lot instead of working through the problem and taking my time to be more accurate._____

Circle two activities you will do to improve your understanding of this concept (in addition to
correcting/redoing the missed problems you would like to attempt again):

1. Complete a “look alike” problem (given to you by Miss Smith), showing all of your steps/work.
2. Create the problem/situation and its solution by using a visual representation (drawing, picture of a
hands-on creation, video, etc.).
3. Play a game (on mathgames.com or another approved site) that helps you practice the skill(s)
that you missed. If using a site other than mathgames.com, please write the name of the site.
4. Explore a website (on the Google Classroom site, or Miss Smith’s website) that provides example
problems for you to view and take notes on. Be prepared to discuss your notes with Miss Smith.
5. Watch a video (on the Google Classroom site, or Miss Smith’s website) and practice/take notes as
you complete the practice problems/examples. Be sure to attach all video notes to this form.

Items to Attach – (send to Miss Smith)

• Previous test with corrections in colored pen (not black, gray, etc.).

• Proof of your activities (attached paper copy, screenshot or video sent via Google
Classroom/email, etc.).

Request

I request the opportunity to retest this concept. I have worked hard to improve my understanding of
this concept. I will submit this request form either in person or electronically, along with my previous
test and the corrections I have made on it.
Student’s Signature: _______________________________________________

Parent’s Signature: ________________________________________________

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